title: Anatomy and function of the palmar aponeurosis pulley.
abstract: The transverse fibers of the palmar aponeurosis are attached by vertical septa to the underlying transverse metacarpal ligament and thus form a pulley over the flexor tendons. It is a constant and substantial retinacular structure that overlays the synovial sheath. Because of its proven function, position and breaking strength, I believe it should be considered part of the flexor tendon pulley system.
authors.affiliation: Division of Orthopaedics, John A. Burns School of Medicine, University of Hawaii-Manoa, Honolulu.
authors.forename: J R
authors.initials: JR
authors.lastname: Doyle
mesh_terms: D005205:Fascia / Q000033:anatomy & histology* / Q000502:physiology / Q000648:ultrastructure; D006225:Hand / Q000033:anatomy & histology* / Q000502:physiology; D006801:Humans; D009068:Movement; D013710:Tendons / Q000033:anatomy & histology* / Q000502:physiology / Q000648:ultrastructure